present day regard the recommendations of Astley C!ooper, Abernethy and Dupuytren for 11011-interference in a case of simple depressed fracture of the skull without cerebral compression, it must surely be accepted as an axiom in modern surgery that wherever symptoms of such compression are present, it is absolutely imperative to make a free incision in order to allow of an examination of the st...

Gliosarcoma is an uncommon variant of glioblastoma, which commonly demonstrates dural attachment. However, skull base invasion is rarely seen with this entity. Herein, we report a 44-year-old female patient diagnosed with primary intracranial gliosarcoma extensively invading the skull base and muscles of mastication. She presented to our institution with a three-month history of difficult right...

BACKGROUND There is no clear consensus regarding radiologic evaluation of head trauma in young children without traumatic brain injury. We conducted a study to develop and validate a clinical decision rule to identify skull fracture in young children with head trauma and no immediate need for head tomography. METHODS We performed a prospective cohort study in 3 tertiary care emergency departm...

Objective: The authors report a rare case of uterine adenocarcinoma metastasis to both the skull base and cervical spine presenting with pathological fracture and myelopathy. Methods: We report the case of a 43-year-old Asian female with widely metastatic uterine adenocarcinoma who over the course of 3 years was diagnosed with a large clival mass and more recently a cervical spine pathological ...

Skull base tumors arise from the cranial base or reach it, either from an intracranial or extracranial origin. A diverse group, these tumors present unique management challenges because of their relative rarity, typically deep location, close proximity to critical neurovascular structures, and extension beyond classically taught anatomic and specialty boundaries. Management outcomes for skull b...

A 50-year-old male with a long standing history of compulsive Valsalva maneuvers, complaining of episodes of vertigo underwent head computed tomography. Axial CT slices at the level of the skull base (Fig. A) and the first cervical vertebrae (Fig. B) shows an extensive unusual pneumatization of both the body and lateral processes of the first cervical vertebrae (arrows), with air pouches dissec...

Various surgical techniques for extirpation of anterior skull base tumors have been established over the past few years. Tumors that are located in this anatomical area may invade both soft and hard tissues of the skull base. In such cases, an en bloc tumor resection may create extensive skull base defects and produce a free conduit between the paranasal sinuses and the intracranial space. Foll...